The American Society of Plastic Surgeons (ASPS) have guidelines in place for young girls (13-19) seeking out breast augmentation for cosmetic reasons, suggesting the age of 18 or at least until the breast has fully developed to the last TANNER stage. But for girls seeking labiaplasty? There really isn’t a set precedent. Why are young girls and women concerned about this? Interestingly, it is more than what meets the eye.
Young girls are seeking out advice about what looks “normal”. For a lot of young girls or women its not about aesthetics, its about feeling comfortable, if the labia minor is larger than normal it can create an extremely painful situation. For athletes such as barrel racers, bicyclist, runners with a larger than “normal” labia, it can create a lot of discomfort for the patient.
Your age should not preclude you from enjoying all activities life has to offer and neither should securing your esteem with a labiaplasty.
Dr. Bishara performs labiaplasty at Paragon Plastic Surgery and Med Spa in Mansfield, Texas. The procedure may be done under local or general anesthesia and is an out-patient procedure typically lasting an hour or two. Some patients opt to pair this surgery with other surgical procedures such as liposuction, breast augmentations or blepharoplasty.
Recovery is typically within 2 weeks. Most patients are able to return to work the day or two post operation and pain managed with over the counter pain medication. As dissolvable sutures are used, no stitches need to be removed and ice can be applied to the area in the event of swelling. Sexual activity and strenuous exercise should be postponed approximately six week post procedure
For more information about breast augmentation or labiaplasty please call 817-473-2120 or


Having children is one’s biggest blessings. Along with your blessing come along changes in your body, especially in the breast and abdomen area. Sagging breast or loose skin doesn’t always look great. That is why Dr. Mark A. Bishara offers what are known as Mommy Makeovers. In the following are some frequently asked questions that might help you decide towards coming in and consulting with Dr. Mark A. Bishara about your Mommy Makeover.

What is a mommy makeover?

The rejuvenation  of the breast and the abdomen is what a mommy makeover refers to. The purpose of a mommy makeover is to transform changes in the breast and abdomen that occur after pregnancies.

Can i have more kids after my mommy makeover?

If you are planning on having more children it is best to wait. Pregnancies are possible after an abdominoplasty but with the skin getting stretched again the results after pregnancy may not be the best.

Is a mommy makeover all done at once?

Majority of the time the mommy makeover is done all at once. Depending on the areas needing to be addressed it can also be done in two different stages.

Are there different options for a Mommy Makeover?

Mommy makeover consist of a breast lift with no augmentation or breast reduction; and abdominoplasty or as many refer to as a tummy tuck, a mini tummy tuck and liposuction.

Who are good candidates for a mommy makeover?

In order to be a good candidate for a mommy makeover the patient should be in over all good health. The patient should also would have completed their child bearing stage.

What can i do to prepare myself for my mommy makeover?

The best thing one can do to prepare for their mommy makeover is to understand why it is being done, what actually is going to get done and have an idea what results will be like.

How soon can i resume normal activities?

For the first week after a mommy makeover you want to have some help with your children or help in general around your home. Recovery generally ranges from 1 to 4 weeks.
Click here to view a Full Tummy Tuck procedure animated »
Click here to view a Mini Tummy Tuck procedure animated »

Your Choices of Breast Enhancement
Breast surgery has been around for more than a century. Each year an increasing number of women opt for cosmetic breast surgery, mainly augmentation (to enlarger size) surgery.

If you have thought long and hard about breast augmentation and have decided you want it, then you will next need to decide on what form of augmentation. Here there are two particularly popular forms of implants which are explained below:
Implants (Silicone or Saline)
Implants are perhaps the more common form of breast enhancement. These involve implanting a foreign object into the breasts as ‘fillers’ to pad these out. These implants can be placed wither directly below the skin, or can be ‘submuscular’ (which is recommended for those who already have larger breasts) and this will make some difference to the appearance. At the same time there are different types of implants that can be used, though most often silicone implants are used. While saline implants (bags filled with a mixture of salt and water) can also be effective and have their own advantages, these are more prone to aesthetic problems which can include rippling and other problems.

History of cosmetic breast surgery
Breast augmentation surgery involves placing of a silicone gel-filled implant in the intrices of breasts with the aim to enhance size.
Implants made of different materials have been tried in the past; use of silicone implants began in 1962. The commonest kind of breast implants used today are saline and silicone implants.
• Saline implants – as the name suggests, these are filled with sterile salt water which is either pre-filled or can be filled in at the time of the procedure. Saline implants requires a smaller incision (as compared to silicone implants) – this is usually taken under the crease of the breast or the armpit and thus is very hard to detect.
• Silicone gel-filled implants – are made of a silicone gel and come only in pre-filled variety. Although, these require a much larger incisions, they are much safer than the saline ones – chances of an infection greatly decrease with silicone based implants.
This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa

Young Women Undergoing Breast Reduction for Competitive Sports

An international tennis star has made headlines not for her serve but for disclosing her decision to undergo breast reduction surgery, not only to help improve her game, she said, but for relief from severe back pain.

Simona Halep, 21, went from a 34DD to a 34C.
“I think she really caused a breakthrough, where all of a sudden this was not a taboo topic,” said Megan Greenwell, senior editor at ESPN magazine. “When you see people at the highest levels talking openly about these things that opens the floodgates for other people to discuss it as a real issue.”
And it’s not only professional athletes going under the knife to reduce breast size. Carly Mortensen, 19, plays collegiate softball, and decided to have her bust reduced surgically.
“It just felt uncomfortable for me because I had to wear two sports bras every time,”  Mortensen said.
“It was emotionally pretty tough. I wasn’t sure if I was going to be happy with it. If this would help me in life and be a bonus for softball then it’d definitely be worth it.”
More than 100,000 women had similar surgeries last year — some of them, experts say, do it to play sports, according to Cosmetic Surgery National Data Bank statistics.
“We are tending to a lot more young patients who realize there’s a surgery out there that can help them, help them feel better and help them become more athletic,” said Dr. Michelle Spring, a plastic surgeon, told ABC News.
But just how much can breast reduction enhance one’s game? After the surgery, Halep climbed 450 spots in world rankings. She’s now ranked number 18.
“I think it’s definitely helped my play because a lot of it comes from mentally being more confident in myself,” she said.
Halep says she’s looking forward to this softball season, when she takes the field for her first official game.

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The obesity epidemic across the United States and the rest of the world has led to many programs centered on lowering Body Mass Index (BMI) for the well-being of the individual. However, significant amounts of weight loss cannot ignore the physics of the real world. Bariatric (weight loss) surgery has caused many individuals to meet their BMI goals and develop healthier lives, but it has also created the need for much of the body contouring necessary from weight loss.  At Dr. Mark Bishara’s office we provide a wide range of cosmetic procedures to help patients look and feel their best.
Following a well-balanced diet to maintain a healthy weight, and exercising consistently to maintain or attain a fit and healthy body are important contributing factors when it comes to an individual’s body image. However, heredity, changes in the body over time such as weight gain or loss, pregnancy, and even aging can result in a change in your body’s proportions and curves that may affect both your body image and self-confidence. Reshaping disproportionate curves or reducing unwanted fat cannot always be achieved through weight loss and exercise alone. Fitness and skin care have little effect on uneven contours or bulges as well as skin that lacks elasticity.
Body contouring surgery can help many people reshape body features that cannot be improved by other measures. Body contouring can dramatically improve the shape and proportion of your body, enhancing your appearance and boosting your self-confidence. The aim of body contouring is to excise the skin for both cosmetic and functional purposes. Daily activity can be bothersome due to frequent chafing between the functional skin and excess skin.
One or more procedures may be recommended to achieve your goals for a more youthful, contoured body. Body contouring goals may be achieved in one surgical session or may be more safely performed in stages depending on your overall health, the type and extent of procedures being considered along with the outcome from discussions and recommendations by your plastic surgeon during the consultation process. Improvements to your body’s shape and overall image may be achieved by reducing excess fat and/or sagging skin and tissue. Dr. Bishara will discuss these and other treatment options with you during your consultation to determine which procedures are right for you.
Lower Body Lift Before and After with Dr. Mark Bishara:

The body contouring procedures are split up into a few of the most common areas operated on:

Abdominoplasty Before and after pictures with Dr. Mark Bishara:

Breast Lift before and after pictures with Dr. Mark Bishara:

Dr. Bishara provides a wide range of cosmetic procedures that are designed to improve the appearance of the body through minimally invasive techniques that provide highly effective results. Many of these procedures can be combined in order to achieve your desired appearance. All of our procedures are performed using the most advanced, state-of-the-art equipment.Please contact us for more information (817) 473-2120.